Pregnancy and Birth

To better understand the differences in 23-week survival rates and outcomes in infants born “early” (23 weeks 0/7 to 3/7) and “late” (23 weeks 4/7 to 6/7), researchers analyzed the records of 126 consecutive liveborn 23-week infants classified as either early or late by gestational age at birth.

A diet with a low glycemic index has no effect on the incidence of macrosomia in an at-risk group, but a positive effect on maternal outcomes.

This image shows a middle-aged woman with pelvic mass. What is your diagnosis?

After unprotected sex, the copper IUD and various oral contraceptives can be used as emergency contraception. What's the most effective option?

In terms of clinical outcomes, a meta-analysis found that studies to date show few clinical differences between immediate and delayed pushing in the second stage of labor.

This woman presented with severe pelvic pain in her third trimester. What's your diagnosis?

Current evidence does not support administering pneumococcal vaccination to women who are pregnant to prevent infection in their newborns, finds a systematic review.

This is the case of a 30-week pregnancy for which the mother underwent routine sonography.

A pilot program is dispensing birth control and emergency contraception to students at 13 NYC high schools without informing their parents. Is this a good idea?

This 15-year-old girl had irregular menses.What is your diagnosis?

More than 25% of women may exhibit symptoms of post-traumatic stress disorder (PTSD) after childbirth, a new study reports.

The success rates of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) are improved when the embryo culture occurs under conditions that provide low oxygen concentrations, show the findings of a new systematic review and meta-analysis.

The FDA has approved a new ultrasound device to detect breast cancer in women with dense breasts. It will be used in conjunction with standard mammography in asymptomatic women with a negative mammogram.

Name the anomaly in this 11-week fetus.

Most hospital births attended by physicians in the U.S. involve the use of stirrups. Do they offer any benefits?

Anti-mullerian hormone testing is the most recent and reliable ovarian reserve test, and it can be used to help women make decisions about family planning early.

A controversial new guideline issued by the Royal College of Obstetricians and Gynaecologists says doctors should encourage women to deliver without epidurals or caesarean sections. Do you agree?

This is a middle-aged female patient with pelvic discomfort. What is your diagnosis?

Pregnant women with a history of psychiatric disorders can significantly reduce depressive symptoms by practicing mindfulness yoga, according to a small pilot study conducted by the University of Michigan Health System.

This middle-aged woman has a six-month history of menorrhagia, with no pain, resulting in anemia. What is your opinion based on these images?

With the exception of breech presentations, attempting vaginal delivery of early preterm fetuses in the vertex position is highly successful and associated with neonatal mortality rates similar to those for cesarean delivery.

New evidence shows that pregnant smokers may benefit from pharmacotherapy for smoking cessation.

IUDs are a safe and effective method of contraception. Why aren't we offering them to teens?

Use of glucocorticoids around the time of implantation has no effect on live birth rates and mimimal effect on pregnancy rates, confirms a new meta-analysis.

A pregnant woman has an open urachal channel and is losing urine through her navel. How would you manage the case?

The benefits of intermittent oral iron supplementation plus folic acid are similar to those of daily supplementation in terms of maternal and infant outcomes, according to the results of a recent systematic analysis.

President-elect of ACOG, Jeanne Conry, MD,advocates for more awareness of and research into how environmental factors prior to conception influence the health of mother and baby, and said, “In medicine we often don't pay attention to environmental research." Is she right?

This woman presented with pelvic pain and discomfort. What is your diagnosis?

Because lead easily crosses the placenta, elevated lead levels in pregnancy have been associated with gestational hypertension, spontaneous abortion, low birth weight, and impaired neurodevelopment. In a new Committee Opinion, The American College of Obstetricians and Gynecologists has reviewed screening and management policies for elevated lead levels in pregnancy.

In women undergoing assisted reproductive techniques, intentional endometrial injury performed in the month prior to the embryo transfer cycle can increase the likelihood of clinical pregnancy and live birth, according to results of a new study.